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find Author "陆树桐" 2 results
  • Selective Artery Embolization in Treatment for Traumatic Hepatic Rupture Bleeding

    Objective To evaluate the hemostatic effect of selective artery embolization in treatment for traumatic hepatic rupture bleeding. Methods The clinical data of 63 patients with traumatic hepatic rupture treated in this hospital from Jan. 2004 to Jun. 2011 were analyzed retrospectively. With Seldinger technique, a catheter was introduced into the liver artery via the right femoral artery for angiography. Once the bleeding site was identified, microcatheter was placed into the hemorrhagic vessels to control the bleeding with polyvinyl alcohol or gelatin sponges. Results The hepatic arteriography was successfully performed in 63 cases, the results showed hepatic left-artery bleeding in 8 cases, hepatic right-artery bleeding in 39 cases, and hepatic left- and right-artery bleeding in 10 cases. Fifty-seven cases received selective arterial embolization and successful hemostasia, including one embolization in 36 cases, two embolizations in 11 cases, and more than two embolizations in 10 cases. Six patients without obvious hemorrhage didn’t receive selective arterial embolization. There was no bleeding again case and no dead case. The hemoglobin and hematocrit returned to normal in one week after embolization. No hemorrhage or other complications happened during follow-up for 0.5 to 1 year. Conclusion The selective arterial embolization is an effective, safe and minimally invasive method for hemostasia of patients with traumatic hepatic rupture.

    Release date:2016-09-08 10:36 Export PDF Favorites Scan
  • 胆肠吻合口结石的成因分析及手术方法

    目的总结胆肠吻合口结石的相关因素及其纠正手术的方法。 方法回顾性分析2003年1月至2013年6月期间笔者所在医院收治的7例胆肠吻合口结石患者的临床资料。 结果7例患者中2例为胆总管-十二指肠侧侧吻合,1例为胆管-空肠侧侧Ω形吻合,4例为胆管-空肠Roux-en-Y吻合;4例胆总管未横断。结石直径2.5~8 cm,平均4 cm。无手术死亡。随访6个月~8年,平均3年。无明显胆管炎症状发作及结石复发。 结论胆肠吻合口结石的形成与手术方式有一定关系,处理方法是取尽结石、切除病灶和纠正原来有缺陷的手术方式。

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